| NPI | 1467829762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARBPINDER SHEVCHENKO General Dentist 617-913-8985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NH 04090) |
| Enumeration Date | 2015-08-22 |
| Last Update Date | 2015-08-22 |